Olaiya, MT and Cadilhac, DA and Kim, J and Nelson, MR and Srikanth, VK and Andrew, NE and Bladin, CF and Gerraty, RP and Fitzgerald, SM and Phan, T and Frayne, J and Thrift, AG, On behalf of the STANDFIRM (Shared Team Approach Between Nurses and Doctors for Improved Risk Factor Management) Investigators, Long-term unmet needs and associated factors in stroke or TIA survivors: An observational study, Neurology, 89, (1) pp. 68-75. ISSN 0028-3878 (2017) [Refereed Article]
Methods: Community-dwelling adults were invited to participate in a survey ≥2 years after discharge for stroke/TIA. Unmet needs were assessed across 5 domains: activities and participation, environmental factors, body functions, post-acute care, and secondary prevention. Factors associated with unmet needs were determined with multivariable negative binomial regression.
Results: Of 485 participants invited to complete the survey, 391 (81%) responded (median age 73 years, 67% male). Most responders (87%) reported unmet needs in ≥1 of the measured domains, particularly in secondary prevention (71%). Factors associated with fewer unmet needs included older age (incident rate ratio [IRR] 0.62, 95% confidence interval [CI] 0.50-0.77), greater functional ability (IRR 0.33, 95% CI 0.17-0.67), and reporting that the general practitioner was the most important in care (IRR 0.69, 95% CI 0.57-0.84). Being depressed (IRR 1.61, 95% CI 1.23-2.10) and receiving community services after stroke (IRR 1.45, 95% CI 1.16-1.82) were associated with more unmet needs.
Conclusions: Survivors of stroke/TIA reported considerable unmet needs ≥2 years after discharge, particularly in secondary prevention. The factors associated with unmet needs could help guide policy decisions, particularly for tailoring care and support services provided after discharge.
|Item Type:||Refereed Article|
|Research Division:||Medical and Health Sciences|
|Research Group:||Cardiorespiratory Medicine and Haematology|
|Research Field:||Cardiology (incl. Cardiovascular Diseases)|
|Objective Group:||Clinical Health (Organs, Diseases and Abnormal Conditions)|
|Objective Field:||Cardiovascular System and Diseases|
|Author:||Nelson, MR (Professor Mark Nelson)|
|Author:||Srikanth, VK (Dr Velandai Srikanth)|
|Deposited By:||Menzies Institute for Medical Research|
Repository Staff Only: item control page